Elements of Clinical Training with the Electrolarynx

Nagle, Kathleen F.

doi:10.1007/978-3-030-04702-3_9

Cited by 4 publications

(1 citation statement)

References 55 publications

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“…Electrolaryngeal speech requires an external, hand-held electronic device, known as the EL, to produce postlaryngectomy voice. The vibratory head of the EL transmits sound energy through neck tissues into the vocal tract, which vibrates the air column inside and is articulated into speech [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Clear Speech on Cantonese Alaryngeal Speakers’ Intelligibility

Hui

Cox

Huang

et al. 2021

Folia Phoniatr Logop

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Background/Aim: The purpose of this study was to provide preliminary data concerning the effect of clear speech (CS) on Cantonese alaryngeal speakers’ intelligibility. Methods: Voice recordings of 11 sentences randomly selected from the Cantonese Sentence Intelligibility Test (CSIT) were obtained from 31 alaryngeal speakers (9 electrolarynx [EL] users, 10 esophageal speakers and 12 tracheoesophageal [TE] speakers) in habitual speech (HS) and CS. Two naïve listeners orthographically transcribed a total of 1,364 sentences. Results: Significant effects of speaking condition on speaking rate and CSIT scores were observed, but no significant effect of alaryngeal communication methods was noted. CS was significantly slower than HS by 0.78 syllables/s. Esophageal speakers demonstrated the slowest speech rate when using CS, while EL users demonstrated the largest decrease in speaking rate when using CS compared to HS. TE speakers had the highest CSIT scores in HS (listener 1 = 81.4%; listener 2 = 81.3%), and esophageal speakers had the highest CSIT scores in CS (listener 1 = 87.5%; listener 2 = 89.7%). EL users experienced the largest increase in intelligibility while using CS compared to HS (9.1%) followed by esophageal speakers (8.9%) and TE speakers (1.4%). Conclusion: Preliminary data indicate that CS may significantly affect Cantonese alaryngeal speakers’ speaking rate and intelligibility. However, intelligibility appeared to vary considerably across speakers. Further research involving larger, heterogeneous groups of speakers and listeners alongside longer and more refined CS training protocols should be conducted to confirm that CS can improve Cantonese alaryngeal speakers’ intelligibility.

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Section: Introductionmentioning

confidence: 99%

The Effect of Clear Speech on Cantonese Alaryngeal Speakers’ Intelligibility

Hui

Cox

Huang

et al. 2021

Folia Phoniatr Logop

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Racial and Ethnic Disparities in Laryngeal Cancer Care

Cox

Daniel

2021

J. Racial and Ethnic Health Disparities

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Variability of Electrolaryngeal Speech Intelligibility in Multitalker Babble

Cox

McNicholl

Shadle

et al. 2020

Am J Speech Lang Pathol

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Purpose The purpose of this study was to report the variability of electrolarynx (EL) users' speech intelligibility in quiet and in multitalker babble. Method Ten EL users (five Servox® Digital, five TruTone™) who were at least 2 years postlaryngectomy provided recordings of five sentences from the 1965 Revised List of Phonetically Balanced Sentences. Recordings were judged by two groups of naïve listeners in quiet and in the presence of multitalker babble. Fifteen listeners orthographically transcribed a total of 750 sentences containing 3,750 key words in quiet, and another 15 listeners orthographically transcribed the same sentences mixed with multitalker babble. Results Significant differences in speech intelligibility were observed between listening conditions; 17.9% more key words were correctly identified in quiet compared to multitalker babble. Significant differences in fundamental frequency (F 0 ) standard deviation and range but not speech intelligibility were observed between EL device types. A positive correlation of moderate significance was observed between F 0 standard deviation and intelligibility for TruTone users in multitalker babble. Conclusions Findings suggest that listeners are able to identify a significantly higher percentage of EL users' speech in quiet compared to multitalker babble, but a large variability in EL users' speech intelligibility exists. Continued investigation involving a larger number of EL users is necessary to confirm this study's findings. Future research should explore the relationships among F 0 measures, speaker characteristics (e.g., rate of speech, articulatory precision), and speech intelligibility, in addition to improving alaryngeal rehabilitation training protocols for EL users.

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Elements of Clinical Training with the Electrolarynx

Cited by 4 publications

References 55 publications

The Effect of Clear Speech on Cantonese Alaryngeal Speakers’ Intelligibility

The Effect of Clear Speech on Cantonese Alaryngeal Speakers’ Intelligibility

Racial and Ethnic Disparities in Laryngeal Cancer Care

Variability of Electrolaryngeal Speech Intelligibility in Multitalker Babble

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